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Organization
1849 LLC
Active
Organization
1849 LLC
Active
Other names
Jonanthan R. Sorelle M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN RICHARD SORELLE M.D. (MANAGER)
(702) 568-0007
Entity
Organization
Contact information
Practice address
11 W PACIFIC AVE, HENDERSON, NV 89015-7304
(702) 568-0007
(702) 568-6299
Mailing address
PO BOX 33292, LAS VEGAS, NV 89133-3292
(702) 568-0007
(702) 568-6299
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
12562
NV
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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